Organization
YRMC HOSPICE
Active
Other names
Yavapai Community Hospital Association
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS O BRISTOL (CHIEF FINANCIAL OFFICER)
(928) 771-5691
Entity
Organization
Contact information
Practice address
3262 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2255
(928) 759-5900
(928) 759-5982
Mailing address
3262 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2255
(928) 759-5900
(928) 759-5982
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HSPC0008
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179467
—
AZ
01
—
AZ0700600
BLUE CROSS PROVIDER
AZ
Enumeration date
05/27/2006
Last updated
08/22/2020
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